LORETO R SICAM JR DMD INC (NPI# 1033252150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033252150 |
| Entity Type | Organization |
| Organization Name | LORETO R SICAM JR DMD INC |
| Practice Address |
699 Lewelling Blvd Ste 300 San Leandro CA 94579-1870 |
| Practice Telephone | 5103578960 |
| Practice Fax Number | 5103578905 |
| Mailing Telephone | 5103578960 |
| Mailing Fax Number | 5103578905 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LORETO R SICAM JR. (PRESIDENT OWNER DENTIST) |
| Authorized Official Telephone | 5103578960 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
39709 | CA | Dental Providers |
| Street Address |
699 LEWELLING BLVD STE 300 |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94579-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143189 | Loreto R Sicam Jr. | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2005-06-09 |
| 1013492693 | Jing Meng | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2018-09-28 |
| 1447613401 | Tammy Ngan | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-29 |
| 1366803520 | Cindy Bunneat | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-16 |
| 1689035792 | Ted Chin | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2016-03-16 |
| 1336512227 | Ngoc My La | Pharmacist | 699 Lewelling Blvd, San Leandro, CA 94579-1870 | 2015-11-02 |
| 1366643314 | Brian Hung Han Dmd Inc | Dentist | 699 Lewelling Blvd, Suite 286, San Leandro, CA 94579-1870 | 2007-05-29 |
| 1831309491 | Alice Tangi Blancaflor | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2007-05-23 |
| 1225184237 | Amy M Nguyen | Dentist | 699 Lewelling Blvd, Suite 286, San Leandro, CA 94579-1870 | 2007-01-25 |
| 1639264484 | Brian Hung Han | Dentist | 699 Lewelling Blvd, Suite 286, San Leandro, CA 94579-1870 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546227 | Thai-son Hoang Nguyen | Pharmacist | 15500 Washingston Ave, San Leandro, CA 94579 | 2018-01-25 |
| 1174079370 | Ngan Kim Tran | Dentist | 1513 Hickory Ave, San Leandro, CA 94579 | 2016-08-28 |
| 1801223581 | Sara Litpon-carey | Social Worker | 16335 East 14th Street, 2nd Floor, San Leandro, CA 94579 | 2013-09-26 |
| 1497224885 | Sonia Zuniga Morales | Behavior Technician | 14389 Elm St, San Leandro, CA 94579-1028 | 2018-11-15 |
| 1770992380 | Stars, Inc. | Community/Behavioral Health | 14790 Corvallis Street, Counseling Office, San Leandro, CA 94579-1174 | 2014-08-07 |
| 1497222707 | Stephanie Clare Bowar | Behavior Technician | 14690 Wiley St, San Leandro, CA 94579-1213 | 2018-10-25 |
| 1427231349 | San Leandro Unified School District | Local Education Agency (LEA) | 14735 Juniper St, San Leandro, CA 94579-1222 | 2007-12-13 |
| 1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
| 1750626016 | Melanie Tabernero | Occupational Therapist | 14860 Crosby St, San Leandro, CA 94579-1473 | 2012-11-27 |
| 1316336688 | Rachel Holland | Nurse's Aide | 14950 Zelma St Apt 12, San Leandro, CA 94579-1474 | 2015-01-09 |
| Find all providers in zip 94579 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795067 | Ryan C Woo Dental Corporation | Dentist | 433 Estudillo Ave Ste 107, San Leandro, CA 94577-4915 | 2020-03-16 |
| 1174079370 | Ngan Kim Tran | Dentist | 1513 Hickory Ave, San Leandro, CA 94579 | 2016-08-28 |
| 1235413600 | Torres Dental Inc | Dentist | 579 Floresta Blvd, Ste D, San Leandro, CA 94578-4106 | 2011-10-04 |
| 1194023317 | Gary G Jeong | Dentist | 362 Joaquin Ave, San Leandro, CA 94577-4712 | 2011-03-11 |
| 1821322199 | Robert Israel | Dentist | 502 Estudillo Ave, San Leandro, CA 94577-4612 | 2009-09-19 |
| 1457582355 | Kenneth Ochoa Torres | Dentist | 579 Floresta Blvd Ste D, San Leandro, CA 94578-4124 | 2009-07-27 |
| 1528214228 | Jorn N Olimpiada | Dentist | 15401 Hesperian Blvd Ste F, San Leandro, CA 94578-3900 | 2008-08-13 |
| 1942474218 | Stanley E Franson | Dentist | 505 Estudillo Ave Ste A, San Leandro, CA 94577-4611 | 2008-04-17 |
| 1689845380 | Vicente Laico David Jr. | Dentist | 148 Best Ave, San Leandro, CA 94577-2704 | 2008-03-20 |
| 1255512174 | Victor Drabkin | Dentist | 536 Estudillo Ave, San Leandro, CA 94577-4612 | 2007-11-20 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94579 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.